Stephanie A Moniz, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

114295 Issued in MO

Practice address

555 W Pine St
Farmington, MO 63640-1439

Phone

(573) 747-1510

Fax

(573) 747-1512

NPI assigned

May 12, 2006

Last updated

Sep 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.62 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Health Group LLC

  • Family Medicine Physician
  • Farmington, MO
  • NPI 1295857340
  Medicare reassignment
• Midwest Health Group Convenient Care, LLC

  dba Midwest Convenient Care

  • Non-Pharmacy Dispensing Site
  • Bonne Terre, MO
  • NPI 1265987853
  NPD (past)
• Midwest Health Group Convenient Care, LLC

  dba Midwest Convenient Care

  • Non-Pharmacy Dispensing Site
  • Fredericktown, MO
  • NPI 1861948697
  NPD (past)
• Mineral Area Osteopathic Hospital Inc

  dba Mineral Area Regional Medical Center

  • Nurse Practitioner
  • Farmington, MO
  • NPI 1124220637

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1235180688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-747-1510",
            "fax_number": "573-747-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-747-1510",
            "fax_number": "573-747-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIZ",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "114295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18094)
• Missouri Dental Professionals, Richard Straus, DMD, PC (Farmington Dental Care)
• Missouri Nursing Home & Rehab LLC (Community Manor)
• Glen A Mohan, CFNP
• Paul S Moniz, DO
• Tonya Lynn Monks
• Steven Carne Monrotus
• Kelly A.NN Montgomery, BS
• Michelle Lee Montgomery, RPH
• Darlene A Moore

• Family Medicine Physician in Farmington, MO
• Providers in Farmington, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.